Eastlund, Gregory Eugene
Eastlund, Gregory Eugene is an sole proprietor health care provider with primary practice located at 3035 White Bear Ave N Ste 10 , Maplewood MN 55109-1321. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eastlund, Gregory Eugene can be contacted via phone (651) 779-9282.Contact Information
Primary practice address
3035 White Bear Ave N Ste 10
Maplewood MN 55109-1321
Phone: (651) 779-9282
Fax: (651) 779-8247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2591 | Minnesota |
Profile Details
| NPI number | 1144226200 |
|---|---|
| LBN Legal business name | Eastlund, Gregory Eugene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Mar 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144226200 | NPPES |
| Minnesota | MEDICAID | 672328400 |
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